De Quervain’s Tendovaginitis Stenosans in Jordanians

Shaher El-Hadidy, Darweesh Badran, Yousef S. Sirhan, Mahmoud Ababneh, Maher El-Hadidy, Hazem Doar

Abstract


Objective

To study the De Quervain’s Tendovaginitis Stenosans in Jordanians for triggering, septation and the presence or absence of tendons and their number.

Methods

We operated on sixty-two wrists with the diagnosis of De Quervain’s Tendovaginitis Stenosans, the mean age was 46 years old ranging from 28 to 77 years, amongst them were 44 females and 17 males.

The right hand was the one affected in 37 and the left in 25, one of them had Bilateral. The dominant hand was affected in 35 cases while, the rest were not recorded. Occupation has some bearing as it has ranged from housewives, hairdressers, office secretaries, managerial jobs, heavy labor workers, handy men, farm hands and recent pregnancy and child birth.

Results

Twelve of the cases were of the triggering type; two of them had full septation, while three had partial septation. As for nodularity, five demonstrated a nodule in the Abductor Pollicis Longus (APL) or Extensor Pollicis Brevis (EPB). Three had synovitis of Abductor Pollicis Longus and four had no nodularity or synovitis. Of the remaining fifty, 18 had full septation and a partial septation in 9, while the rest were in a single compartment. The number of tendons varied, fifty-five had a single (EPB) with no cases of APL absence.

However, eighteen had one APL tendons, 33 had two, while six had 3 -4 or more slips of tendons.
Fifty-eight patients of them attended for follow up. Forty-seven had full satisfaction; two reported scar hypertrophy, scar adherence in 3 and two cases of dysesthesis in the Superficial Branch of the radial Nerve (SBN).

Keywords


De Quervain’s stenosing tendovaginitis, Abductor Pollicis Longus (APL), Extensor Pollicis Brevis (EPB), Superficial Branch of radial Nerve (SBN).

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